PETER CARRASCO (NPI# 1396068219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396068219 |
| Entity Type | Individual |
| Full Name | PETER CARRASCO |
| Practice Address |
1160 S Grand Ave Glendora CA 91740-5000 |
| Mailing Address |
Po Box 473 Lake Forest CA 92609-0473 |
| Practice Telephone | 6263355980 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1160 S GRAND AVE |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790895092 | Pacific Clinics | Community/Behavioral Health | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2006-08-30 |
| 1780292722 | Victoria Ashley Jakaub | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-15 |
| 1801414313 | Dania Salgado | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-10 |
| 1457979387 | Amanda Bianca Corral | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-07 |
| 1326670019 | Michelle Belling | Licensed Psychiatric Technician | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-02-10 |
| 1215581657 | Chelcei Villarreal Muro | Case Manager/Care Coordinator | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-07-24 |
| 1679139471 | Ahrum Kwon | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-05-16 |
| 1629539424 | Jessica Aileen Nuno | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-03-26 |
| 1366938243 | Amy Elizabeth Maljian | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-07-03 |
| 1316431083 | Angela Pei Wu | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588896567 | Veronica A Zendejas | Rehabilitation Practitioner | 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 | 2009-08-10 |
| 1275787301 | Christine Deborah Price | Rehabilitation Practitioner | 1222 S Soderberg Ave, Glendora, CA 91740-4993 | 2008-11-17 |
| 1780703041 | Tom Rayle | Rehabilitation Practitioner | 1771 S Grand Ave, Apt #41, Glendora, CA 91740-5436 | 2007-03-28 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1447392782 | Myrna Diaz Yepez | Rehabilitation Practitioner | 1160 South Grand Avenue, Glendora, CA 91740 | 2007-02-13 |
| 1295369734 | Sandra Castaneda | Rehabilitation Practitioner | 2200 E Route 66 Ste 200, Glendora, CA 91740-4699 | 2020-02-24 |
| 1326680521 | Briana Acevedo | Rehabilitation Practitioner | 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 | 2019-10-09 |
| 1528622032 | Hannah M Price | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-30 |
| 1366904500 | Andrew Alberto Pantoja | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-05 |
| 1790250843 | Gabriela Stephany Estrada-arreguin | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-10-04 |
| Find all providers in GLENDORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.